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Cancer, Oncology & Supportive Care • ICD-10-CM C64.9

Wilms Tumor

Also known as: Nephroblastoma

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2026-11-02 • ICD-10-CM C64.9 • 8 Linked .gov / PubMed Citations • Governance: Dr. Devon Caldwell, DO, MPH (NPI #1568063758)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Wilms Tumor Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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What Is Wilms Tumor?

Wilms tumor is a rare type of kidney cancer. It causes a tumor on one or both kidneys. It usually affects children, but can happen in adults. Having certain genetic conditions or birth defects can increase the risk of getting it. Children that are at risk should be screened for Wilms tumor every three months until they turn eight. Symptoms include a lump in the abdomen, blood in the urine, and a fever for no reason. Tests that examine the kidney and blood are used to find the tumor. Doctors usually diagnose and remove the tumor in surgery. Other treatments include chemotherapy and radiation and biologic therapies.

Pathophysiology, Underlying Causes & Clinical Presentation

Tissue-level etiology in Wilms Tumor (C64.9) features potential lymphatic or in Wilms Tumor (C64.9: hematogenous dissemination if). Cross-referenced with NIH MeSH (Wilms Tumor), therapeutic stabilization in cancer & oncology is verified against Pathology / Molecular in Wilms Tumor (C64.9: Genomic Staging).

Common Symptoms & Clinical Signs

  • • Presentation of Wilms Tumor (C64.9): persistent painless lump, in Wilms Tumor (C64.9: non-healing ulcer/mole change,)
  • • Secondary Wilms Tumor clinical sign: unintended weight loss [Wilms Tumor C64.9]
  • • Symptom flares in Wilms Tumor correlating with Comprehensive Metabolic & in Wilms Tumor (C64.9: Organ Function Panel) deviation outside Preserved renal/hepatic clearance (C64.9)
  • • Functional cancer & oncology impact requiring tissue biopsy with in Wilms Tumor (C64.9: histopathology) evaluation (C64.9)

Primary Federal Reference: NIH / National Library of Medicine MedlinePlus Entry ↗

Wilms Tumor Diagnostic Classification & Lab Markers

Metric Verified Benchmark Source
ICD-10-CM Diagnostic Code C64.9 WHO / CMS ICD-10-CM Clinical Classification
Clinical Specialty Hub Cancer, Oncology & Supportive Care NIH MedlinePlus Health Topics
Diagnostic / Lab Marker: Comprehensive Metabolic & in Wilms Tumor (C64.9: Organ Function Panel) Preserved renal/hepatic clearance (C64.9) Clinical Reference Target Range
Diagnostic / Lab Marker: Pathology / Molecular in Wilms Tumor (C64.9: Genomic Staging) Guideline-concordant surveillance (C64.9) Clinical Reference Target Range
Diagnostic / Lab Marker: Complete Blood Count in Wilms Tumor (C64.9: (ANC, Hemoglobin, Platelets)) Safe hematologic reserve (C64.9) Clinical Reference Target Range
Marcus Sterling (AI Healthcare Price Auditor) & Dr. Vance

FDA-Monographed Medications & Public Cash Price Reference for Wilms Tumor

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Medication Pharmacologic Class Patient Worth-It CMS NADAC / Unit Typical Lowest Cash
Etanercept Enbrel • RxCUI RXN-58406032-2382 Tumor Necrosis Factor Blocker 86% $1984.1427 $ 185.00 /mo
Yusimry (Adalimumab-Aqvh) Yusimry • RxCUI 2640395 Tumor Necrosis Factor Blocker 81% $604.1525 $ 526.75 /mo
Certolizumab Pegol Cimzia • RxCUI 795081 Tumor Necrosis Factor Blocker 77% $5783.3464 $ 185.00 /mo
Renflexis (Infliximab) Renflexis • RxCUI 1927290 Tumor Necrosis Factor Blocker 80% $0.2500 $ 26.50 /mo
Adalimumab-Adaz Hyrimoz • RxCUI RXN-83457102-2276 Tumor Necrosis Factor Blocker 83% $1586.7323 $ 185.00 /mo
Simlandi (Adalimumab-Ryvk) Simlandi • RxCUI 2677780 FDA Prescription Therapeutic Agent 84% $478.6490 $ 640.00 /mo
Amjevita (Adalimumab-Atto) Amjevita • RxCUI 2627711 Tumor Necrosis Factor Blocker 92% $872.7719 $ 640.00 /mo
Infliximab-Axxq Avsola • RxCUI RXN-55513670-3213 Tumor Necrosis Factor Blocker 75% $1.2300 $ 58.32 /mo
Simponi Aria (Golimumab) Simponi Aria • RxCUI 1431647 Tumor Necrosis Factor Blocker 90% $2.4900 $ 187.78 /mo
Cimzia (Certolizumab Pegol) Cimzia • RxCUI 795085 Tumor Necrosis Factor Blocker 93% $5783.3464 $ 640.00 /mo
Hadlima (Adalimumab-Bwwd) Hadlima • RxCUI RXN-B500906707 Tumor Necrosis Factor Blocker 82% $1254.6130 $ 640.00 /mo
Infliximab-Dyyb Zymfentra, Inflectra • RxCUI RXN-72606025-2721 Tumor Necrosis Factor Blocker 90% $3.1100 $ 134.45 /mo
Golimumab Simponi Aria, Simponi • RxCUI 1431642 Tumor Necrosis Factor Blocker 89% $12356.6836 $ 185.00 /mo
Zymfentra (Infliximab-Dyyb) Zymfentra • RxCUI RXN-B72606025 Tumor Necrosis Factor Blocker 82% $2.9600 $ 221.62 /mo
Adalimumab-Aqvh Yusimry • RxCUI 2640389 Tumor Necrosis Factor Blocker 88% $604.1525 $ 185.00 /mo
Infliximab Renflexis, Remicade • RxCUI 1927285 Tumor Necrosis Factor Blocker 74% $1135.9660 $ 185.00 /mo
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Wilms Tumor)

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Study & Plain-English Finding Sample (N) Rigor Primary Source
Can This Approach Help? Inside the Latest Research on Quality of Life Associated with Ramucirumab Treatment in Patients with Advanced

Treatment with ramucirumab plus paclitaxel maintained QoL and performance status over time compared with placebo plus paclitaxel in the Japan subgroup of the RAINBOW trial.

Clinical drug investigation • 2021-01-15 • Phase III Randomized Trial
N = 68 88/100 PMID 33355909 ↗
New Insights on Molecular profile-based recommendations for postoperative add-on treatment in: What a 590-Participant Study Found

Secondary outcomes are relapse-free survival, overall survival, side effects and health-related cancer-specific quality of life.

Journal of gynecologic oncology • 2023-03-15 • Phase III Randomized Trial
N = 590 87/100 PMID 36659832 ↗
Can This Approach Help? Inside the Latest Research on Characteristics and outcome of synchronous bilateral Wilms tumour in the SIOP WT

This study demonstrates that AV without anthracyclines is sufficient to achieve NSS and good survival in the majority of patients.

British journal of cancer • 2024-10-15 • Phase III Randomized Trial
N = 174 82/100 PMID 39080350 ↗
Can This Approach Help? Inside the Latest Research on Interim analysis in clinical trials: caution against premature conclusions-the

S0777's success underscores the importance of pre-specified interim monitoring plans and cautions against premature trial termination.

Trials • 2026-08-27 • Phase III Randomized Trial
Multi-cohort 82/100 PMID 42661196 ↗
Can This Approach Help? Inside the Latest Research on Ulinastatin in the treatment of radiotherapy-induced oral mucositis in

The 3-year overall survival (OS), locoregional relapse-free survival (LRRFS), distant metastasis-free survival (DMFS) and progression-free survival (PFS) in UTI group and control group are similar between two groups.

Nature communications • 2025-03-23 • Phase III Randomized Trial
N = 89 82/100 PMID 40122906 ↗
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